Uterine cancer should refer to endometrial cancer, and whether chemotherapy is needed for endometrial cancer should be decided according to pathological stage and histological typing. If it is early stage and without high risk factors, chemotherapy is usually not needed for follow-up observation; if it is middle or late stage and other pathological types appear, chemotherapy can be assisted after operation.
The principle of endometrial cancer treatment is mainly surgical treatment, supplemented by radiotherapy (chemotherapy), chemoradiotherapy (chemotherapy) and hormone and other comprehensive treatments. In case of stage I patients, no high-risk factors such as age greater than 60 years old, tumor deep myocardial infiltration, lymphovascular interstitial infiltration, low differentiation, high-risk tissue types can be followed up and observed after surgery, and chemotherapy is not needed.
In case of stage III~IV, recurrence, special pathologic type, stage IB but with lymphovascular interstitial infiltration, G3 patients can be treated with adjuvant chemotherapy after surgery.
Therefore, the appropriate treatment plan should be chosen according to the doctor’s suggestion and the specific situation of the patient after uterine cancer surgery.